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Practical-Manual-Scores-Algorithms-Haemostasis-Thrombosis

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Management of patientswith occlusion of the superior mesenteric arteryCT-verified acute SMA occlusionOther thrombotic conditionsNo peritonitisPeritonitisEmbolus<strong>Thrombosis</strong>StentingExploratorylaparotomyNo contraindicationto thrombolysisAspiration ±pharmacologicalthrombolysis ±endovascularmechanicalembolectomyContraindicationto thrombolysisAspiration ±endovascularmechanicalembolectomyOpenembolectomy +completionangiographyEmbolusOpenembolectomy +completionangiography +damagecontrol surgery<strong>Thrombosis</strong>Stenting +damagecontrol surgeryReferences• Acosta S, Björck M. Modern treatment of acute mesenteric ischaemia. Br J Surg.2014;101:e100-8.• Sise MJ. Acute mesenteric ischemia. Surg Clin North Am. 2014;94:165-81.45

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